FORM
A-R
NEBRASKA LEGISLATURE
APPLICATION FOR REGISTRATION AS A LOBBYIST
Dec 19, 2023

(This report is required to be filed on or before December 31 of each calendar year.)
49-1480.01(3)

Amended Registration
Lobbyist Registration Fee:
{49-1480.01}

(If you are a salaried employee of your principal, you are a compensated lobbyist.)
(File a Form E for quarterly report exemption. You are not exempt from the Form D Activity Report.)

PLEASE FILL IN ALL BLANKS

LOBBYIST {49-1480(1)}

635 S. 14th St. Suite #305 

 

Lincoln 

NE 

68508 

 

 

 

(308) 631-2165 

 

afellers@nebgrocery.com 

PRINCIPAL {49-1480(2)}

(515) 288-2828 

6700 Pioneer Parkway 

Dan Kramer 

Johnston 

IA 

50131 

Banking 

AMOUNTS GIVEN
3,000.00  Per Session  
IDENTIFICATION of MATTERS on which principal or lobbyist expects to lobby: {49-1480(5)} Electronic Funds Processing  
Description of industry, trade, profession, or interests and groups represented by the principal:
Electronic Funds Processing 
Names and addresses of principal's officers:

GIVE NAME and ADDRESS of any OFFICIAL in the Legislative or Executive Branch and of any members of any such official's staff or immediate family who is employed by you or by anyone acting on your behalf:

I certify that all information presented in this form is accurate to the best of my knowledge.

Ansley Fellers

Lobbyist Name

Dec 19, 2023

Date